Foot Edemaaccording to TCM

*redirected from Swelling of the feet

Symptom families: Edema-associated Concerns, Feet Issues

Parent symptom: Edema

What is Foot Edema?

Foot edema is characterized by an abnormal accumulation of fluid within the tissues of the feet, often leading to swelling and discomfort. This can be a transient symptom or an indication of more serious health conditions such as heart failure, renal issues, or venous insufficiency. In daily life, it may manifest as shoes feeling tighter than usual, a puffiness of the skin, and a pressing pain when the swollen area is touched.

How Does TCM View Foot Edema?

Traditional Chinese Medicine (TCM) interprets foot edema as a disharmony within the body's natural flow of Qi and Blood, often associated with the dysfunction of the Spleen, Kidney, or Liver.

Dampness and Stagnation are common pathological factors in TCM thought to contribute to fluid accumulation. Treatment focuses on restoring balance, enhancing fluid metabolism, and promoting the correct movement of Qi and Blood.

Root Causes of Foot Edema in TCM

In the realm of Traditional Chinese Medicine, foot edema is most commonly associated with the concept of Dampness, a pathogenic factor that pertains to fluid imbalances in the body. When Dampness prevails, it can lead to a series of symptoms including swelling of the feet, a sense of heaviness, and a feeling of fullness in the abdomen.

Two primary patterns observed are Dampness obstructing the Spleen's function of transportation and transformation, leading to fluid accumulation, and Damp-Heat in the Gallbladder, which combines the humid stagnation with the fieriness of Heat, resulting in symptoms like nausea and a dull yellow complexion.

Explore below more details about what might cause Foot edema according to TCM.

  • By Syndrome
  • By Organ
  • Gallbladder
Detailed description of the cause

Dampness

"Dampness" in TCM is a concept that describes a pattern of disharmony where the body accumulates excess moisture. Imagine the heavy, sticky feeling you get on a very humid day; that's similar to what dampness feels like internally. It can manifest as a sense of heaviness, bloating, sluggishness, or even a foggy mind. This condition is often thought to arise from environmental factors like living in a damp place, dietary habits that promote moisture in the body, or internal imbalances that hinder the body's ability to process fluids properly. In TCM, dampness can obstruct the normal flow of energy and fluids in the body, leading to various symptoms.... see more

Dampness Patterns That Can Lead to Foot Edema

Common Symptoms: Feeling Of Heaviness Abdominal Edema Ankle Edema Facial Edema Oedema Of Hands Leg Edema Ocular Swelling Abdominal Distention

Pattern Name Relevant Symptoms Relevant Formulas
Oedema Oedema of feet, Abdominal edema, Ankle edema, Facial edema, Foot edema, Oedema of hands, Leg edema, Ocular swelling, Abdominal distention... see more Wu Ling San | Fang Ji Huang Qi Tang | Ping Wei San | Wu Pi Yin | Ling Gui Zhu Gan Tang | Zhen Wu Tang | Shen Qi Wan | Yu Gong San | Zhou Che Wan
Damp-Heat in the Gallbladder Swelling of the feet, Hypochondriac pain, Hypochondriac distention, Nausea or vomiting, Fat malabsorption, Dull yellow complexion, Scanty and dark urine, Fever, Dry mouth without desire to drink, Bitter taste in the mouth, Dizziness, Tinnitus, Irritability, Feeling of heaviness, Limb numbness, Foot edema, Alternating diarrhea and constipation, Alternating sensation of hot and cold, Yellow sclera... see more Yin Chen Hao Tang
Detailed description of the cause

Phlegm

In TCM "Phlegm" as a pattern of disharmony is a complex concept that extends beyond the physical manifestation of mucus. It represents a pathological factor that can disrupt the flow of Qi (vital energy) and blood, leading to various health issues. Phlegm in TCM is seen as a sticky, turbid substance arising from the body's inability to metabolize fluids properly, often due to a dysfunction of the spleen. It's not only associated with respiratory problems like cough and congestion but also with systemic issues. Symptoms can include a feeling of heaviness, mental cloudiness, dizziness, and in some cases, the formation of lumps or masses. Phlegm can even be "invisible," contributing to emotional disturbances like depression or stress. ... see more

Phlegm Patterns That Can Lead to Foot Edema

Pattern Name Relevant Symptoms Relevant Formulas
Oedema Oedema of feet, Abdominal edema, Ankle edema, Facial edema, Foot edema, Oedema of hands, Leg edema, Ocular swelling, Abdominal distention... see more Wu Ling San | Fang Ji Huang Qi Tang | Ping Wei San | Wu Pi Yin | Ling Gui Zhu Gan Tang | Zhen Wu Tang | Shen Qi Wan | Yu Gong San | Zhou Che Wan
Detailed description of the cause

Qi Stagnation

Qi Stagnation in TCM is like having a traffic jam in your body's energy system. Qi, the vital life force that flows through your body, is supposed to move smoothly to maintain health and balance. But with Qi Stagnation, this flow gets blocked or slowed down, like cars stuck on a highway. This can lead to symptoms like feeling stressed, emotional mood swings, and physical discomfort, often described as a feeling of fullness or tightness, especially in the chest or abdomen. It's as though the body's internal energy circulation is disrupted, causing various issues. TCM sees this as an energy flow problem, different from modern medicine's focus on specific physiological processes.... see more

Qi Stagnation Patterns That Can Lead to Foot Edema

Pattern Name Relevant Symptoms Relevant Formulas
Qi And Blood Stagnation Swelling of the feet, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Xue Fu Zhu Yu Tang | Shen Tong Zhu Yu Tang | Shao Fu Zhu Yu Tang | Ge Xia Zhu Yu Tang | Chai Hu Shu Gan San | Shi Xiao San | Qi Li San | Dan Shen Yin | Guo Qi Yin
Detailed description of the cause

Blood Stasis

Blood Stasis in TCM is a concept where the blood flow in the body is not as smooth or efficient as it should be. Imagine a river that's supposed to flow freely, but instead, it's getting blocked or moving too slowly in some parts. This can lead to various health issues, like pain that feels sharp or stabbing, dark bruises, and a complexion that looks purplish. TCM believes that good health relies on the smooth and vibrant flow of Qi and blood throughout the body, so when blood gets stuck, it's like a traffic jam in your body, leading to discomfort or health problems.... see more

Blood Stasis Patterns That Can Lead to Foot Edema

Pattern Name Relevant Symptoms Relevant Formulas
Qi And Blood Stagnation Swelling of the feet, Chest distension, Chest pain, Stabbing fixed pain, Dark face, Purple lips, Purple nails, Irritability, Mood swings, Depression, Mottled skin, Foot edema, Abdominal masses, Melena black tarry stool, Menstrual cramps, Amenorrhea, Dark menstrual clots, Dark menstrual blood, Prolonged lochia, Irregular periods... see more Xue Fu Zhu Yu Tang | Shen Tong Zhu Yu Tang | Shao Fu Zhu Yu Tang | Ge Xia Zhu Yu Tang | Chai Hu Shu Gan San | Shi Xiao San | Qi Li San | Dan Shen Yin | Guo Qi Yin
Detailed description of the cause

Heat

In TCM "Heat" signifies an excess of Yang energy, leading to an imbalance where heat predominates over the body's cool Yin aspects. This condition is metaphorically akin to an internal over-heating. Symptoms indicative of Heat can include feelings of warmth, fever, sweating, irritability, red face, thirst with a preference for cold drinks, and a rapid pulse. The tongue may appear red with a yellow coating. Unlike the common interpretation of heat in terms of temperature, in TCM, it represents a state of hyperactivity or inflammation in the body.... see more

Heat Patterns That Can Lead to Foot Edema

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat in the Gallbladder Swelling of the feet, Hypochondriac pain, Hypochondriac distention, Nausea or vomiting, Fat malabsorption, Dull yellow complexion, Scanty and dark urine, Fever, Dry mouth without desire to drink, Bitter taste in the mouth, Dizziness, Tinnitus, Irritability, Feeling of heaviness, Limb numbness, Foot edema, Alternating diarrhea and constipation, Alternating sensation of hot and cold, Yellow sclera... see more Yin Chen Hao Tang
Detailed description of the cause

Gallbladder

In TCM the Gallbladder has a unique role in storing and excreting bile, but more importantly, it's seen as crucial for decision-making and courage. It's closely connected to the Liver, assisting in the smooth flow of Qi (vital energy) and supporting the Liver's role in maintaining emotional balance. When the Gallbladder malfunctions or is imbalanced in TCM, it can lead to physical symptoms like gallstones, jaundice, or a bitter taste in the mouth. There might also be digestive disturbances, particularly related to fat metabolism. On an emotional level, a Gallbladder disorder can manifest as indecisiveness, timidity, or a tendency to easily succumb to stress. These symptoms highlight the TCM view of the Gallbladder as integral to both physical processes and emotional resilience.... see more

Gallbladder Patterns That Can Lead to Foot Edema

Pattern Name Relevant Symptoms Relevant Formulas
Damp-Heat in the Gallbladder Swelling of the feet, Hypochondriac pain, Hypochondriac distention, Nausea or vomiting, Fat malabsorption, Dull yellow complexion, Scanty and dark urine, Fever, Dry mouth without desire to drink, Bitter taste in the mouth, Dizziness, Tinnitus, Irritability, Feeling of heaviness, Limb numbness, Foot edema, Alternating diarrhea and constipation, Alternating sensation of hot and cold, Yellow sclera... see more Yin Chen Hao Tang

TCM Herbal Formulas for Foot Edema

To address foot edema, TCM practitioners often turn to the classic formula Wu Ling San, which is especially renowned for its potency in promoting diuresis and dispelling Dampness. The key herb in this formula, Water plantain or Ze Xie, is valued for its ability to drain excess fluids.

When Dampness coexists with Heat, as in Damp-Heat in the Gallbladder, the formula Yin Chen Hao Tang is prescribed to clear Heat and dry Dampness, with Virgate wormwood or Yin Chen being the herbal hero for its cooling and drying properties.

Explore below some TCM herbal formulas used to address foot edema, organized by cause and by formula type.

  • By Cause
  • By Formula Type
  • Formulas that invigorate blood and dispel blood stagnation
  • Formulas that promote urination and leach out dampness
  • Formulas that warm and transform water and dampness
  • Formulas that drive out excess water
  • Formulas that transform dampness and harmonize stomach
  • Formulas that warm yang and tonify
  • Formulas that clear heat and expel dampness
  • Formulas that regulate blood
  • Formulas that promote qi movement
  • Formulas that tonify blood

All Formulas Recommended for Foot Edema Caused by Dampness

Formula Patterns Suitable For
Wu Ling San Oedema
Fang Ji Huang Qi Tang Oedema
Ping Wei San Oedema
Wu Pi Yin Oedema
Ling Gui Zhu Gan Tang Oedema
Zhen Wu Tang Oedema
Shen Qi Wan Oedema
Yu Gong San Oedema
Zhou Che Wan Oedema
Yin Chen Hao Tang Damp-Heat in the Gallbladder

All Formulas Recommended for Foot Edema Caused by Phlegm

Formula Patterns Suitable For
Wu Ling San Oedema
Fang Ji Huang Qi Tang Oedema
Ping Wei San Oedema
Wu Pi Yin Oedema
Ling Gui Zhu Gan Tang Oedema
Zhen Wu Tang Oedema
Shen Qi Wan Oedema
Yu Gong San Oedema
Zhou Che Wan Oedema

All Formulas Recommended for Foot Edema Caused by Qi Stagnation

Formula Patterns Suitable For
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Shen Tong Zhu Yu Tang Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Chai Hu Shu Gan San Qi And Blood Stagnation
Shi Xiao San Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation
Guo Qi Yin Qi And Blood Stagnation

All Formulas Recommended for Foot Edema Caused by Blood Stasis

Formula Patterns Suitable For
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Shen Tong Zhu Yu Tang Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Chai Hu Shu Gan San Qi And Blood Stagnation
Shi Xiao San Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation
Guo Qi Yin Qi And Blood Stagnation

All "formulas that invigorate blood and dispel blood stagnation" recommended for foot edema

Formula Patterns Suitable For (if applicable)
Xue Fu Zhu Yu Tang Qi And Blood Stagnation
Shao Fu Zhu Yu Tang Qi And Blood Stagnation
Ge Xia Zhu Yu Tang Qi And Blood Stagnation
Shi Xiao San Qi And Blood Stagnation
Qi Li San Qi And Blood Stagnation
Dan Shen Yin Qi And Blood Stagnation

All "formulas that promote urination and leach out dampness" recommended for foot edema

Formula Patterns Suitable For (if applicable)
Wu Ling San Oedema
Fang Ji Huang Qi Tang Oedema
Wu Pi Yin Oedema

All "formulas that warm and transform water and dampness" recommended for foot edema

Formula Patterns Suitable For (if applicable)
Ling Gui Zhu Gan Tang Oedema
Zhen Wu Tang Oedema

All "formulas that drive out excess water" recommended for foot edema

Formula Patterns Suitable For (if applicable)
Yu Gong San Oedema
Zhou Che Wan Oedema

Acupoints for Foot Edema

Targeting specific acupoints can be an effective method in TCM to alleviate foot edema. Points along the Stomach Channel, such as Chongyang ST-42 and Xiangu ST-43, are selected for their influence on the Stomach and Spleen, organs responsible for fluid metabolism. These points are said to tonify these organs, ensuring the proper transformation and transportation of fluids, thus reducing edema.

Additionally, points on the Gall Bladder Channel, like Diwuhui GB-42 and Xiaxi GB-43, may be utilized to address the stagnation of Liver Qi, which is closely related to the Gall Bladder and can contribute to fluid retention when not flowing freely.

See more details below about Qiduan EX-LE-12, an acupoint used to address foot edema.

  • By Meridian
  • Extra Points: Lower Extremities (EX-LE)
Qiduan EX-LE-12

Qiduan EX-LE-12

On the tips of the 10 toes.